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1962753442
RYAN JEREMY JORDAN
PATTON, CA
NPI
1962753442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 26100)
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2012-09-25
Last Update Date
2015-04-09
Business Address
Dr. RYAN JEREMY JORDAN Ph.D.
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679
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Mailing Address
Dr. RYAN JEREMY JORDAN Ph.D.
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679
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